Wait Trevor J, Kolaczko Jensen G, Stevanovic Ognjen, Orahovats Alexandra, Boublik Martin, Mayer Stephanie W, Genuario James W
University of Colorado Health, Englewood, Colorado, USA.
Arthrosc Tech. 2023 Jul 24;12(8):e1383-e1389. doi: 10.1016/j.eats.2023.04.007. eCollection 2023 Aug.
Tibial anterolateral rotary instability associated with anterior cruciate ligament (ACL) tears is a well-documented and difficult problem with a long history of solutions. The lateral extra-articular tenodesis (LET) has undergone multiple refinements in technique, largely focusing on the femoral site insertion using either an interference screw versus a staple for adequate fixation. In this article, we present an improved technique using a suture anchor as an alternative to a staple or an interference screw with secure fixation to insert the LET graft onto the femur. This technique diminishes the chance of ACL tunnel-LET drilling convergence, minimizes the footprint required for adequate graft fixation, and allows the surgeon to dial in the correct tension necessary for adequate augmentation of an ACL reconstruction.
与前交叉韧带（ACL）撕裂相关的胫骨前外侧旋转不稳定是一个有充分文献记载且棘手的问题，针对该问题的解决方法已有很长历史。外侧关节外肌腱固定术（LET）在技术上经历了多次改进，主要集中在股骨部位的植入，使用干涉螺钉或钉进行充分固定。在本文中，我们介绍一种改进技术，使用缝合锚替代钉或干涉螺钉，将LET移植物安全固定于股骨上。该技术减少了ACL隧道与LET钻孔汇聚的可能性，将充分固定移植物所需的面积降至最小，并使外科医生能够精确调整ACL重建充分增强所需的正确张力。
